Organization · NPI-2
Optical Palace Of Newark LLC
Technician/Technologist, Optician · Newark, NJ
NPI number1003995069
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1003995069
- Entity type
- Organization (NPI-2)
- Legal business name
- Optical Palace Of Newark LLC
- Organization subpart
- No
- Enumeration date
- Nov 2, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | TD3405 | NJ | Yes |
Practice location
89 Market StNewark, NJ 07102-1736
Phone 973-424-0070 · Fax 973-424-0072
Mailing address
89 Market StNewark, NJ 07102-1736
Phone 973-424-0070 · Fax 973-424-0072
Authorized official
Parag Champaklal Raithatha
V.President
97342420070
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